Provider Demographics
NPI:1760511265
Name:KAY, BARBARA (PSYD)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:KAY
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3747
Mailing Address - Street 2:108 FORREST AVE
Mailing Address - City:CARTERSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30120-1713
Mailing Address - Country:US
Mailing Address - Phone:770-386-6200
Mailing Address - Fax:770-386-9801
Practice Address - Street 1:108 FORREST AVE
Practice Address - Street 2:
Practice Address - City:CARTERSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30120-3614
Practice Address - Country:US
Practice Address - Phone:770-386-6222
Practice Address - Fax:770-386-9801
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-02
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPSY002116103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist